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<br />CERTIFICATE OF LIABILITY INSURANCE 0AR119129n2a
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />PRODUCER
<br />HUB International Insurance Services Inc.
<br />40 E Alamar Ave
<br />Santa Barbara, CA 93105 w
<br />INSURED
<br />Green Halo Systems Inc ISL
<br />2431 Zenker Road INSUI
<br />San Jose, CA 95M1
<br />879-9508
<br />COVERAGES §---% tERTIE—ICATESAMILER IL A IL / 01 'i - rl A -^% r REII IeN IMMBLR:
<br />THIS IS TO CERTIFY THAT THE POLI TES INSURANCE STCD GLOW AVEB &NA SU dD 0 : WIEW M91.1 RE EUNIED W FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM C.2 rJNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />TYPE OF INSURANCE
<br />ADDL
<br />INSD
<br />SUER
<br />MePOLICY
<br />NUMBER
<br />POLICY EFF
<br />POLIICOY EXPLTR
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />CIAIMS-MADE [X] OCCUR
<br />X
<br />X
<br />57SBABA7049
<br />7/26/2023
<br />712612024
<br />EACH OCCURRENCE
<br />$ 2,000,000
<br />DMAAGETO RENTEDn�
<br />PREMISES (EaMED
<br />$ 100,000
<br />UP (My one erson
<br />$ 10,000
<br />PERSONAL&ADVINJURY
<br />$ 2,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER
<br />X POLICY LOC
<br />GENERAL AGGREGATE
<br />$ 4,000,000
<br />PRODUCTS-COMP/OPAGG
<br />$ 4,000,000
<br />$
<br />OTHER:
<br />A
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />ccident
<br />Ea accident,
<br />$ 2,000,000
<br />BODILY INJURY Per person)S
<br />ANY AUTO
<br />57SBABA7049
<br />7/26/2023
<br />7/2612024
<br />POMOBILE
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />BODILYINJURYPer accident
<br />Pe�acGdent AMAGE
<br />Epp
<br />hUTOS ONLY X AUTOS ONFILV
<br />UMBRELLA LIAB
<br />OCCUR
<br />EACH OCCURRENCE
<br />$
<br />AGGREGATE
<br />$
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED RETENTION$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNERI ECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED? �Y
<br />(Mandatoryln NH)
<br />N/A
<br />X
<br />57WECDI8380
<br />712612023
<br />712W2024
<br />X PER OTH-
<br />ER
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMB
<br />1,000,000
<br />C
<br />Cyber w/Tech E&O
<br />V1654D231001
<br />9/1/112023
<br />9/10/2024
<br />Each claim
<br />2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />City of Santa Ana, its City Council, its officers, officials, employees, agents, and volunteers are Additional Insured With regard to the General Liability policy,
<br />when required by written contract, per the attached endorsement form SS0008 04105, Primary & Non -Contributory and Waiver of Subrogation Included. Waiver
<br />of Subrogation applies to the Workers Compensation policy, when required by written contract, per the attached endorsement form WC990303B 8/00.
<br />Should the policies be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded
<br />within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the
<br />cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of
<br />such cancellation within ten (10) days of the cancellation date.
<br />City of Santa Ana
<br />Attention: Christy Kindig, Enterprise Program Manager
<br />20 Civic Center Plan M-21
<br />Santa Ana, CA 92701
<br />ACORD 25 (2016/03)
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREO
<br />ACCORDANCE WITH THE POLICY PR(
<br />AUTHORIZED REPRESENTATIVE
<br />L-_
<br />o "-pan"
<br />REVIEWED PROVED lo'
<br />REVIEWED&APPROV®BY:
<br />Risk Management Specialist
<br />©1988-2015 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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